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"On April 22, the Group Santa Joana gathered a large multidisciplinary team of doctors, nurses, physiotherapists and doulas at the Hotel Tivoli in São Paulo (SP), for the 1st International Day of Doulas, where they discussed the important role of these professionals together for pregnant women in hospital.
Under the coordination of anesthesiologist Dr.. Monica M. Siaulys, the event was attended by the doula Tuly Duprat, which develops work in the Birthing Gently and Brigham and Womens Hospital in Boston, and the anesthesiologist William Camman, of Brigham and Women Hospital, both responsible for a care model to fairly complete and humane woman in labor. Discussions also included the presence of the doula Yael Sofer, certified by DONA International, one of the most recognized certification institutions in the area, and also a member of Birthing Gently.
During the program, Tuly Duprat spoke about his experiment in the practice of doulagem, expectations of future mothers around the work of doulas and how their work is developed in hospitals. "In the US the service is balanced between comfort provided by the doula and the assistance given by doctors. We needed the confidence that we can transmit to pregnant women. But it is important that medicine is present, we (doulas) do not realize and do not evaluate exams. If any intervention is necessary, the midwife or doctor should be present. We strictly follow the code of ethics and conduct of doulas. We do not express personal opinion, do not transfer our values, do not we influence our clients to do something we want or take decisions based on our desires, "adds Tuly.
Tuly Duprat also talked about the importance of choosing a target delivery plan and change possibilities for the mother does not get frustrated and dissatisfied, given that patient satisfaction and the perfect occurrence of all are the most important throughout the work of doulas and medical staff.
Dr. Camman already emphasized why the birth plan should not be too hard. "It is essential that the mother knows the importance of the birth plan to have some flexibility, one must keep in mind that the situation can change suddenly and, consequently, the need for a change in plans. I often say that the only thing that is predictable in childbirth is the unpredictability, "says the anesthesiologist.
For William Camman, the doula is important, but it is necessary to pay attention to well to his role, which is exclusively emotionally support the patient and not work on convincing some decision along pregnant. "Doulas are important. For 15 years the relationship we had was different, births took place outside hospitals and were nothing safe. Hospitals changed their attitude and doulas too, why did things that were not of their scope of work. It is necessary that doctors and doulas are updated according to the rules of each area for there are no disagreements or conflicts. There needs to be dialogue and all involved are prepared and oriented to ever remain doubts. "
Still on this subject, the anesthesiologist William Camman pointed out that often, patient comfort and satisfaction are different things. "Many pregnant plan to totally natural births, but when they start to feel a severe pain, call for medical intervention with anesthesia to relieve these feelings. But on the other hand, this does not guarantee that it is 100% happy with your delivery, because in reality is not what she wanted, "said Camman.
During the debate, was exposed the importance of certification doula profession and processes required for this, as reading more than five specialized books, 7 hours of childbirth introduction of training, three hours of lactation training, 10-hour workshop of births performed report, reference names, and support specialists who could help in emergency situations, specific essays and monitoring of deliveries from other doulas in preparation.
To close the event, William Camman talked about the scientific part related to births and decisions involving: anesthetics. The expert explained combinations of drugs currently used to provide ever greater comfort for pregnant women and help them in their choices, even when they are already decided by a completely natural birth and a change of plans is necessary.
The event marked the beginning of an important step towards a new reality in the industry, which is moving to always take the best for patients, integrating medical staff and doulas throughout the course of her pregnancy, before, during and after delivery. Also it proved to be an opening for a dialogue where both sides get along, looking for a common language and maturity to the benefit of all."